Individual
ANITA KY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
8441 WAYZATA BLVD STE 340, GOLDEN VALLEY, MN 55426-1372
(952) 542-5515
Mailing address
3433 LAKE JOHANNA BLVD, ARDEN HILLS, MN 55112-7935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122004
MN
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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